Aging Population & Suicide: Mental Health Crisis in Rural Areas

by Grace Chen

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South Korea Faces Alarming Suicide Rates in Areas Experiencing Population Decline

A new analysis reveals a deeply concerning correlation between shrinking populations and increased suicide rates across South Korea, highlighting a critical gap in mental healthcare access for vulnerable communities. The data, compiled by a member of the National Assembly, indicates a systemic crisis demanding urgent attention from public health officials.

The study, conducted by Kim Seon-min of the Health and Welfare Committee, compared suicide rates in 89 areas with declining populations to the national average. Findings released on Thursday showed that last year, the suicide rate in these areas reached 36.3 per 100,000 people – a critically importent 7.2 point increase over the national rate of 29.1 per 100,000. A staggering 75.3%, or 67 regions, experienced suicide rates considerably higher than the national average, representing three out of every four areas grappling with population loss.

Rural Areas Hit Hardest

The crisis is notably acute in rural communities.According to a recent report by the Korea Rural Economic Institute, the suicide rate in rural areas was 1.2 times higher than in urban centers as of 2023. Moreover, individuals aged 65 and older accounted for 40% of all suicide deaths, suggesting a strong link between aging populations, economic hardship, and mental health challenges. Contributing factors include the prevalence of mental illnesses like depression, chronic physical diseases, social isolation, and economic difficulties, all compounded by limited access to care.

Did you know?– South Korea’s suicide rate has been the highest among OECD countries for over a decade, driven by factors like intense academic pressure and economic instability.

Lack of Psychiatric Care Fuels the Crisis

A critical component of the problem is the severe shortage of mental health professionals in areas with declining populations. last year, South Korea averaged 8.3 psychiatrists per 100,000 people nationwide. However, 70.8% – 63 out of 89 – of the areas experiencing population decline fell below this national average. The situation is even more dire in some regions: 28 areas across the country have no psychiatrists at all, and a shocking 85.7% of those – 24 regions – are experiencing population decline. This represents 30% of all areas with population decline.

pro tip: Recognizing signs of distress in others-such as withdrawal, changes in sleep, or expressions of hopelessness-can be the first step in offering support.

The top 10 areas with the highest suicide rates all fall within regions experiencing population loss.Cheongyang-gun,South Chungcheong province,recorded the highest rate at 60.3 per 100,000, followed closely by Hongcheon-gun, Gangwon-do (59.9), Jeongseon-gun, Gangwon-do (56.3), Jindo-gun, jeollanam-do (55.8), Bonghwa-gun, Gyeongbuk and Taebaek-si, Gangwon-do (55 each), Boryeong-si, South Chungcheong (54.0), Taean-gun, Chungcheongnam (53.1), Yeongwol-gun, Gangwon-do (51.5), and Seongju-gun, Gyeongsangbuk-do (50.4). Notably, five of the top ten counties – Cheongyang-gun, Jeongseon-gun, Bonghwa-gun, Taean-gun, and Yeongwol-gun – have no access to psychiatric care whatsoever.

Reader question: Why are rural areas

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